Christian Samuelson, LCSW | |
79 W Alexandrine St, Detroit, MI 48201 | |
(313) 831-5535 | |
(313) 831-2608 |
Full Name | Christian Samuelson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 6 Years |
Location | 79 W Alexandrine St, Detroit, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922586502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801103121 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 34009442A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital East | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Network Inc | 1850203977 | 116 |
Entity Name | Community Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554 |
Mailing Address | Practice Location Address |
---|---|
Christian Samuelson, LCSW 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Christian Samuelson, LCSW 79 W Alexandrine St, Detroit, MI 48201 Ph: (313) 831-5535 |
Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769 | |
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221 | |
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608 | |
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444 | |
Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000 |